Why have you been taking carvedilol for 4 years?
Carvedilol is normally prescirbed for heart failure or hypertension, it's not normally prescribed for anxiety or a general high pulse rate. It's reduction on resting heart rate is minimal compared to drugs like propranolol, especially at increased dosages.
Carvedilol shows extremely positive effect on heart function and the circulatory system, ok..hypotension maybe a side effect if you have low blood pressure to begin with. But then again, hypotension is a lot less likely to have a negative impact on your health compared to hypertension. What were your blood pressure numbers like when dosing at 12.5 mg BID?
I take it for cardiomyopathy. My blood pressure before taking it was pretty much normal, or maybe high-normal on occasion.
I wouldn't suggest taking it just for anxiety or even high pulse rate, but if you have to take a beta blocker, Carvedilol probably would be the best one. But I can't say if Carvedilol would be better than an ACE inhibitor or ARB for most people, for hypertension issues alone.
And a low dose regimen possibly could have benefits or work as a preventative in otherwise healthy people, but I admit I never researched that aspect of it.
Here is an interesting study on slowing heartrate via beta blockers and increased risk of cardiovascular incidents --
http://www.theheart....ticle/913561.doAtenolol is probably the culprit here, but other beta blockers could have the same problem. Nebivolol and Carvedilol may be exceptions, due to their vasodilating properties.
Edited by nameless, 09 April 2009 - 11:01 PM.